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Oregon rates for HCPCS A6257

Transparent Film 16 Sq. In. Or Less Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $1.56 / $6.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $3.93 / $4.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.06 / $3.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $2.04 / $2.25
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $2.09 / $2.46
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.14 / $2.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.04 / $3.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.88 / $2.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.35 / $2.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.91 / $1.73